凡一切冷食不消,宿食不散,亦类伤寒,身热、恶寒战栗、头痛、腰脊强。不
可用双解散,止可导饮丸、木香槟榔丸五、六十丸,量虚实加减,利五、七行,所伤冷物宿
酒推尽,头痛病自愈矣。次以五苓散,生姜、枣煎,用长流水煎取五、六钱。不可服酒症丸、进食
丸,此药皆犯巴豆,有大毒故也。
凡膏粱之人,起居闲逸,奉养过度,酒食所伤,以致中脘留饮,恶闷、痞满、醋心,可服木
香导饮丸治之。若田野刍荛之人,食疏衣薄,动作劳役,若酒食所伤,心腹满闷、醋心、时
时吐酸水,可用进食丸,以其胜毒也。病甚者,每月泻三、五次。
凡一切沉积,或有水不能食,使头目昏眩,不能清利,可茶调散吐之;次服七宣丸、木香槟榔丸。
凡人咳嗽一声,或作悲笑啼泣,抬舁重物,忽然腰痛气刺,不能转侧,或不能出气者,可用不卧散嚏之,汗出痛止。
凡一切刀器所伤,用风化锻石一斤,龙骨四两,二味为细末,先于端四日,采下
刺蓟菜,于端午日五更合捣,和成团子,中间穿眼,悬于背阴处,阴干,捣罗为末,于疮上
掺贴。亦得里外 疮,并诸杂疮皆效。
凡犬咬蛇伤,不可便贴膏药及生肌散之类。《内经》云∶先治
内而后治外可也。先当用导水丸、禹功散之类。可泻惊恐不散、毒瓦斯。或泻十余行,实时痛
减肿消,然后可用膏药生肌散之类,敷之则愈矣。
凡一切虫兽所伤及背疮肿毒,杖疮 发,或透入里,可服木香槟榔丸七、八十丸,或至
百余丸,生姜汤下五、七行,量虚实加减用之。《经》曰∶先治内而后治外是也。
凡落马坠井,因而打扑,便生心恙,是痰涎散于上也。《内经》曰∶所谓因气动而病生于外。宜
三圣散,空心服之。如本人虚弱瘦瘁,可用圣独散吐之;后服安魄之药,如定志丸之类,牛黄、人参、朱砂之属。
In all cases where cold food fails to digest or retained food does not disperse, the presentation resembles Taiyang disease (disease of the Taiyang channel). Symptoms include fever, aversion to cold with shivering, headache, and stiffness in the waist and spine. Shuangjie San (Double Release Decoction) should not be used; instead, Daoyin Wan (Guiding Drink Pill) or Muxiang Binglang Wan (Aucklandia and Areca Nut Pill), 50–60 pills per dose, should be administered. The dosage should be adjusted according to the patient’s deficiency or excess condition. After five to seven bowel movements, when the ingested cold substances and old wine are thoroughly expelled, the headache and other symptoms will resolve spontaneously. Subsequently, Wuling San (Five-Ingredient Powder with Poria) should be taken, decocted with fresh ginger and jujube, using "long-flowing water" (water from a moving stream) to extract approximately five to six qian (a traditional unit of weight). Jiuzheng Wan (Alcohol Syndrome Pill) and Jinshi Wan (Food Advancement Pill) must be avoided, as these contain Radix Euphorbiae Lathyris (Badou, Croton Seed), which is highly toxic.
For individuals accustomed to rich and refined diets, living idle and comfortable lives, and overindulging in nourishment, injuries caused by alcohol and food lead to retained fluid in the Zhongwan (CV12, Middle Jiao region), manifesting as nausea, epigastric distension and fullness, and acid regurgitation. Muxiang Daoyin Wan (Aucklandia Guiding Drink Pill) can be used for treatment. Conversely, for rural laborers who eat coarse food, wear thin clothing, and engage in strenuous physical work, if injured by alcohol and food, presenting with abdominal fullness and oppression, acid regurgitation, and frequent spitting of sour fluid, Jinshi Wan (Food Advancement Pill) may be used due to its stronger purgative potency. In severe cases, purgation may be performed three to five times per month.
In all cases of severe internal accumulation, or when phlegm-fluid retention prevents eating, causing dizziness and vertigo of the head and eyes, and inability to promote clear yang and drain turbidity, Chatiao San (Tea-Regulating Powder) should be used to induce vomiting. This should be followed by Qixuan Wan (Seven-Promoting Pill) and Muxiang Binglang Wan (Aucklandia and Areca Nut Pill).
If a person coughs once, or makes sounds of weeping, laughing, crying, or wailing, and suddenly experiences sharp stabbing pain in the lower back after lifting heavy objects, rendering them unable to turn their body or exhale properly, Buwo San (Sleepless Powder) should be administered via nasal insufflation. Sweating will occur, and the pain will cease.
For all injuries caused by blades or weapons, use one jin (approx. 500g) of weathered calcined iron ore (Fenghua Duanshi) and four liang (approx. 125g) of Dragon Bone (Longgu). Grind both ingredients into fine powder. Four days before the Duanwu Festival (Dragon Boat Festival), collect Cirsium japonicum (Ciji, Thistle); on the early morning of the Duanwu Festival, pound them together, mix into dough balls, pierce a hole through the center, and hang them in a shady place to dry naturally. Once dry, grind and sieve into powder, and apply directly to the wound. This preparation is also effective for internal and external sores as well as various miscellaneous ulcers.
For dog bites or snakebites, do not immediately apply plaster or skin-nourishing powders. As stated in the Huangdi Neijing (Yellow Emperor's Inner Canon): "Treat the interior first, then the exterior." Initially, use Daoshui Wan (Water-Guiding Pill) or Yugong San (Yu Gong Powder) to purge accumulated fear/stress and toxic vapors. If ten or more bowel movements occur, pain and swelling will immediately subside. Only then should plasters or skin-nourishing powders be applied to achieve healing.
For all injuries from insects or beasts, back sores with swelling and toxicity, or traumatic injuries from beating that flare up or penetrate inward, administer Muxiang Binglang Wan (Aucklandia and Areca Nut Pill), 70–80 pills, or even up to 100+ pills, taken with ginger decoction to induce five to seven bowel movements. Adjust the dosage based on the patient’s deficiency or excess. This aligns with the Classic saying: "Treat the interior first, then the exterior."
For falls from horses or wells resulting in blunt trauma, if sudden mental disturbances arise, this is due to phlegm-saliva dispersing upward. The Huangdi Neijing states: "Disease arises externally due to qi movement." Sancheng San (Three-Sage Powder) should be taken on an empty stomach. If the patient is weak and emaciated, Shengdu San (Sole Sage Powder) should be used to induce vomiting. Afterwards, administer herbs to calm the spirit and secure the soul, such as Dingzhi Wan (Stabilize Will Pill), containing Calculus Bovis (Niuhuang, Bezoar), Ginseng Radix et Rhizoma (Renshen, Ginseng), and Cinnabaris (Zhusha, Cinnabar).